THE TRAVELING TOOTHFAIRY, LLC
NPI: 1033691464
· LUNENBURG, MA 01462
· Dental Clinic/Center
· NPI assigned 09/01/2018
Provider Details
| Authorized Official | FOREMAN, MARCY (OWNER) |
| NPI Enumeration Date | 09/01/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$564.00 |
| 2024 |
91 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0190 |
|
52 |
52 |
$1K |
| D1206 |
Topical application of fluoride varnish |
52 |
51 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$689.00 |